Individual provider Active NPI

Robert Douglas Jones III, CAA

  • Anesthesiologist Assistant
  • Greenville, SC
National Provider Identifier
1376885970
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
81 Issued in SC
Practice address
7 Independence PT Ste 300
Greenville, SC 29615-4569
Phone
(864) 522-3700
Fax
(864) 522-3705
NPI assigned
Mar 21, 2013
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 81 SC Primary
Anesthesiologist Assistant 367H00000X 006764 GA

Addresses

Primary practice location

7 Independence PT Ste 300
Greenville, SC 29615-4569

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other practice location 1

701 Grove Rd
Greenville, SC 29605-4210
Phone (864) 455-3076

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130529000454 GA Practitioner - Anesthesiology Assistant 5294973442 Reassigns benefits to 12 organizations
I20210924001693 SC Practitioner - Anesthesiology Assistant 5294973442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Consultants of AthensGroup PAC ID 2567459902, 55 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Anesthesia Associates of Gainesville, LLCGroup PAC ID 2769381771, 149 clinicians

Practice addresses (Care Compare)

1230 Baxter St
Athens, GA 30606-3712
Phone (706) 543-3449

150 N Park TRL
Suite a
Stockbridge, GA 30281-7372
Phone (770) 507-4070

651 S Milledge Ave
Athens, GA 30605-1250
Phone (706) 543-3449

7 Independence PT
Suite 300
Greenville, SC 29615-4569
Phone (864) 522-3700

743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 532-7179

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jan 1, 2022 Accepting new patients
Anesthesia Dynamics LLC CurrentSince Mar 2, 2024 Accepting new patients
Georgia Group Services, LLC Current Accepting new patients
Prisma Health-Upstate CurrentSince Jul 19, 2021 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
North Atlanta Professional Services LLC CurrentSince Mar 29, 2021 Accepting new patients
Anesthesia Consultants of Athens CurrentSince Apr 11, 2025 Accepting new patients
Anesthesia Associates of Gainesville, LLC CurrentSince Apr 15, 2013 Accepting new patients
Ambulatory Anesthesia of North Georgia, LLC CurrentSince May 15, 2013 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 1, 2022 Accepting new patients
Mak Anesthesia Georgia, LLC CurrentSince Mar 1, 2021 Accepting new patients
Concordia Anesthesiology, Inc CurrentSince Oct 1, 2024 Accepting new patients
Prisma Health-Upstate Current Accepting new patients
Pathology Associates of Greenville PA Current Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince Mar 1, 2021 Accepting new patients
Georgia Group Services, LLC CurrentSince Jan 2, 2016 Accepting new patients
Northlake Anesthesia Professionals, LLC CurrentSince Mar 7, 2020 Accepting new patients
The Southeast Permanente Medical Group Past Accepting new patients
Wellstar Medical Group, LLC Past Accepting new patients

Locations (25 of 34)

1500 Oglethorpe Ave
Ste 2100
Athens, GA 30606
Phone (706) 425-5437

651 S Milledge Ave
Athens, GA 30605
Phone (706) 546-9290

303 Parkway Dr NE
Atlanta, GA 30312
Phone (404) 265-4000

4200 Northside Pkwy NW
Ste 8
Atlanta, GA 30327
Phone (404) 233-3833

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505

1488 Jesse Jewell Pkwy SE
Ste 100
Gainesville, GA 30501

1488 Jesse Jewell Pkwy SE
Ste 201
Gainesville, GA 30501
Phone (678) 253-0175

1945 Beverly Rd
Gainesville, GA 30501
Phone (770) 287-1500

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

895 Canton Rd NE
Bldg 200
Marietta, GA 30060
Phone (678) 784-0203

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

5730 Glenridge Dr
Ste 400
Sandy Springs, GA 30328
Phone (404) 252-3074

5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507

3670 Highlands Pkwy SE
Smyrna, GA 30082
Phone (770) 528-9574

2131 Fountain Dr
Snellville, GA 30078
Phone (770) 979-8200

150 N Park Trl
#A
Stockbridge, GA 30281
Phone (770) 507-0909

1491 Montreal Rd
Tucker, GA 30084
Phone (770) 270-1284

200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1376885970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 INDEPENDENCE PT STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154569",
            "telephone_number": "864-522-3700",
            "fax_number": "864-522-3705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054210",
            "country_code": "US",
            "telephone_number": "864-455-3076",
            "fax_number": "864-455-4135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "ROBERT",
        "middle_name": "DOUGLAS",
        "name_suffix": "III",
        "credential": "CAA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-21",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "SC",
            "license": "81",
            "primary": true
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "006764",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.